ATMIYA University

Date

Place

Session applied for
January July

(b)Specialization

Name of the Applicant

Father's/Husband's name(in block letters):

Permanent Residential Address

Correspondence Address

Gender
Female Male Transgender

Date of Birth

Age (Years)

Nationality
Indian Foreign

Category
GEN SC ST OBC

E-mail Id

Mob. No

Landline .No

Have you ever been registered/completed for Ph.D./M.Phil programme to this or any other University?
Yes No

Please attach your recent Curriculum Vitae (CV)

Drop files here or

Please state briefly your research interests